# BRUCE E ABBOTT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619069085
- **Authorized official:** BRUCE E ABBOTT (OWNER)
- **Authorized official phone:** (724) 588-6160

## Contact information

- **Practice address:** 110 WOODFIELD DR, GREENVILLE, PA 16125-1250
- **Practice address phone:** (724) 588-6160
- **Practice address fax:** (724) 588-0122
- **Mailing address:** PO BOX 637, GREENVILLE, PA 16125-0637
- **Mailing address phone:** (724) 588-6160
- **Mailing address fax:** (724) 588-0122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC002545L | PA | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 11/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0010401540003 | — | PA |